| NPI | 1740459429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3859) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3859) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3859) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-08-07 |